Mireille Gayle Cervelli | Santa Cruz, CA • PECOS Search

Mireille Gayle Cervelli

Midwife

Other Service Providers

701 Mission St, Santa Cruz, CA 95060-3614

PECOS Enrollment

Based on the most recent information from CMS, provider Mireille Gayle Cervelli does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1023667193
Provider Type
Individual
Full Name
Cervelli, Mireille Gayle
Credential
LM, CPM

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/10/2019
Last Updated
9/10/2019

Contact Information

Practice Location

701 Mission St, Santa Cruz, CA 95060-3614

Unlisted Fax

Mailing Location

101 Hagemann Ave, Santa Cruz, CA 95062-2212

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 176B00000X Primary	Description Midwife Other Service Providers	License 580 California